Jade Therapy, LLC

Primary specialty

Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X

License

0189841 Issued in NM

Legal business name

JADE THERAPY, LLC

Practice address

1505 15TH St Ste C
Los Alamos, NM 87544-3000

Phone

(505) 692-9513

NPI assigned

Oct 19, 2017

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mrs. Claire Julia Wood, LPCCNPI 1831596071

Title

Partner

Phone

(505) 692-9513

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Claire Julia Wood, LPCC

  • Professional Counselor
  • Santa Fe, NM
  • NPI 1831596071
  NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1508371200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1629331200000",
    "number": "1922519735",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1006 PASEO DE LA CUMA",
            "city": "SANTA FE",
            "state": "NM",
            "postal_code": "875011221",
            "telephone_number": "505-692-9513"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1505 15TH ST STE C",
            "city": "LOS ALAMOS",
            "state": "NM",
            "postal_code": "875443000",
            "telephone_number": "505-692-9513"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1006 Paseo De La Cuma",
            "address_purpose": "LOCATION",
            "city": "Santa Fe",
            "state": "NM",
            "postal_code": "875011221",
            "country_code": "US",
            "telephone_number": "505-692-9513",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "JADE THERAPY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-10-19",
        "last_updated": "2021-08-19",
        "certification_date": "2021-08-19",
        "status": "A",
        "authorized_official_last_name": "WOOD",
        "authorized_official_first_name": "CLAIRE",
        "authorized_official_middle_name": "JULIA",
        "authorized_official_title_or_position": "PARTNER",
        "authorized_official_telephone_number": "505-692-9513",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "LPCC"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": "NM",
            "license": "0189841",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Mental Health Clinic/Center (Including Community Mental Health Center) in Los Alamos, NM
• Providers in Los Alamos, NM by specialty
• Mental Health Clinic/Center (Including Community Mental Health Center) in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.